Asst. Prof. MD. Dogac Oksen

A 72-year-old retired master watchmaker presented with recurrent, brief episodes of lightheadedness precisely at 11 AM and 4 PM daily. Intrigued by the temporal precision, Dr. Oksen discovered a rare medication-fasting interaction where the patient's beta-blocker coincided with steep blood sugar drops from his rigid tea-time schedule. Adjusting the timing by just 90 minutes resolved all symptoms, astonishing the patient with this 'chronobiological' fix.

A 41-year-old migrant agricultural worker from Eastern Anatolia arrived with severe heart failure symptoms. He spoke only a Kurdish dialect. Through a hospital interpreter, Dr. Oksen learned the man had been secretly reusing a relative's old heart medications for years after his own prescription lapsed. Dr. Oksen secured charitable hospital funding for a full workup, initiated correct therapy, and connected him with a social worker to navigate the healthcare system, leading to dramatic functional improvement.

A 19-year-old university student and competitive esports athlete developed paroxysmal atrial fibrillation during marathon gaming sessions. Dr. Oksen, recognizing the stress-caffeine-posture triad, collaborated with a neurologist to rule out other issues. He prescribed a strict ergonomic and hydration regimen instead of immediate ablation. The patient now streams his 'healthy gaming' routines to his followers, with only two minor, self-resolving episodes in the past year.

A 58-year-old ship captain with a mechanical aortic valve presented for routine checkup. During consultation, he mentioned new 'navigation errors' in familiar waters. Dr. Oksen suspected micro-emboli despite therapeutic INR levels and ordered a transcranial Doppler bubble study, revealing a patent foramen ovale. A percutaneous closure procedure was performed. The captain returned to work with restored spatial acuity, calling Dr. Oksen his 'medical lighthouse.'

A 28-year-old competitive freediver from the Aegean coast presented with unexplained sinus bradycardia and occasional dizziness during surface intervals. Dr. Oksen, suspecting an atypical autonomic nervous system adaptation rather than pathology, coordinated with a sports physiologist. He prescribed a tailored monitoring protocol instead of medication. The patient learned to manage her dive profiles differently and has since broken two national depth records without cardiac symptoms.